Kashizuka T, Tanaka S, Ito T, Fukuda D, Oshita H, Tachibana S, Goshima H, Ando T, Kachi H
Dept. of Surgery, Gifu City Hospital.
Gan No Rinsho. 1989 Aug;35(9):1087-92.
A retroperitoneal leiomyosarcoma in a 50-year-old man is reported. A laparotomy was performed on Dec. 17, 1987 and the tumor, weighing 120 g, was completely excised. The patient was followed up and has stayed healthy (1 year after operation). Although CT ultrasonography and arteriography are helpful in the diagnosis of retroperitoneal tumors, it is felt that a histological examination is indispensable for a qualitative assessment of the lesion. Surgical excision constitutes the fundamental treatment for a retroperitoneal leiomyosarcoma. However, the prognosis is usually poor and depends on successful radical surgery. This case involved non-concurrent double cancers with a retroperitoneal leiomyosarcoma and a kidney cancer.
报告了一名50岁男性的腹膜后平滑肌肉瘤病例。1987年12月17日进行了剖腹手术，完整切除了重达120克的肿瘤。对患者进行了随访，其术后1年一直保持健康。虽然CT超声检查和动脉造影有助于腹膜后肿瘤的诊断，但认为组织学检查对于病变的定性评估必不可少。手术切除是腹膜后平滑肌肉瘤的基本治疗方法。然而，预后通常较差，取决于根治性手术是否成功。该病例为腹膜后平滑肌肉瘤与肾癌的非同期双癌。
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